| NPI | 1790879336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: IA MD-37356) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: IA 37356) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-01-17 |